PriorityColo.com - hosting - colo

Order Plan

Shared 1
Money Back Guarantee	30 Days
Disk Space	75 MB
Transfer	5 GB
IPv4 Addresses	None
POP3 Emails	10
Email Aliases	10
Email Forwarders	10
Auto Responders	10
FTP Accounts	10
MySQL Databases	3
Sub-Domains	5
Domains	1
Setup time	Within 24 Hours
Setup Fee	$11.95
Paid Monthly	$11.95
Paid Semi‑Annually	$69.95
Paid Annually	$119.95
Purchase	Order Package

Contact Information

First Name *
Middle Initial
Last Name *
Address Line 1 *
Address Line 2
City *
State/Province
Zip/Postal Code
Country *
Phone Number *
E-Mail Address *
Domain Name *
Company Name *
Additional Contact
Additional Contact
Additional Contact
Additional Contact
Additional Contact

Misc. Information

Where did you hear about us?
Why did you choose us?
Additional Comments

Payment Options

Billing Period
Payment Method

Credit Card Information (If Applicable)

Card Holder's Name
Credit Card Number
Expiration Date	Month Year
CCV Number	(3 or 4 digit security number on card)
Bank Name
Bank's Full Phone #

Terms and Finalization

Please check this box to indicate that you have read, understood, and agree to comply with the terms of service and acceptible use policy.